Treatment of Fibroid – Conservative Options
In this section I will discuss two options. These are not offered in our clinic but do exist and we can guide you to specialist in these procedures. Both methods need specialist from different fields and patient selection is important.
Uterine Artery Embolization(UAE) / Uterine Fibroid Embolization
This procedure is done by a radiologist. They will make a tiny incision in the groin and insert a catheter into the femoral artery, it is then guided up to the uterine artery and then the blood vessels that supply blood to the fibroid are blocked. Once the blood supply is blocked the fibroids will shrink over time.
This procedure is ideal for those who have a single medium sized fibroid. It cannot be done for those women who would like to have children in the future.
The results of the procedure, recurrence, need for further treatment and surgery are best discussed by the specialist.
MR Guided Focused Ultrasound
MR Guided Focused Ultrasound (MRgFUS) or High Intensity Focused Ultrasound (HiFU) is a modern modality of treatment again offered by radiologist. It uses high intensity focused ultrasonic waves under the guidance of magnetic resonance imaging to ablate the fibroid.
This does not need hospitalization and anaesthesia but it needs multiple sittings.
Thepros and cons of this method are best discussed with the specialist providing this treatment modality.